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Immediate ImplantNCT06642753

Buccal Plate Augmentation Using Sticky Bone With Simultaneous Immediate Implant Placement

A study testing immediate implant with buccal plate augmentation using sticky bone and immediate implant with sticky bone as a filling material in the jumping gap in people with Immediate Implant, run by Cairo University at 1 site in Egypt.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

the aim of this study is to clinically assess pink esthetic score following Buccal Plate Augmentation using Sticky Bone versus usage of Sticky Bone as a jumping gap filling material with simultaneous immediate implant placement in the maxillary esthetic zone Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Immediate Implant
What is being tested?
immediate implant with buccal plate augmentation using sticky bone and immediate implant with sticky bone as a filling material in the jumping gap
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteEgypt
Study dates
1 Jun 2024to May 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patients aged 18 years or older.
  • Presence of a non-restorable maxillary tooth in the esthetic zone including maxillary anteriors and premolars indicated for extraction.
  • An intact buccal plate of bone after extraction.
  • Full-mouth plaque and bleeding score not exceeding 20%.
  • Patients showing motivation to comply with post-operative care instructions and follow- up appointments.

Who cannot join

  • Periapical infection involving the tooth to be extracted.
  • Periodontal disease
  • Systemic health conditions that contraindicate or affect healing of implant surgery (Diabetes Mellitus, Leukemia)
  • Pregnant and nursing females.
  • Smokers

Trial locations and contacts

1 site in 1 country.

Enji ahmed, Professor contact

Enji.Ahmed@dentistry.cu.edu.eg

Egypt1 site, 1 recruiting
  • Faculty of Dentistry Cairo University

    Cairo, 12613

    Recruiting

Other trials in Egypt

About this study

Official title: Buccal Plate Augmentation Using Sticky Bone Versus Usage of Sticky Bone as a Jumping Gap Filling Material With Simultaneous Immediate Implant Placement in the Maxillary Esthetic Zone :A Randomized Controlled Clinical Trial

the aim of this study is to clinically assess pink esthetic score following Buccal Plate Augmentation using Sticky Bone versus usage of Sticky Bone as a jumping gap filling material with simultaneous immediate implant placement in the maxillary esthetic zone

Read the detailed description

All patients will undergo pre-operative clinical examination: Patient's data will be collected; name, gender and age, medical and dental histories will be taken. Also, all patients will undergo standardized periapical radiograph to detect any pathosis and a pre-operative Cone beam computed tomography (CBCT) scans will be taken to evaluate the tooth root configuration and to confirm the presence of intact buccal wall, Vital structures related to the tooth, Vertical and horizontal dimensions of the alveolar bone and Bone density.

Patient preparation for surgical procedure:

After extra oral disinfection of the surgical site ,the patients will be asked to rinse their mouths with Chlorohexidine HCL 1.25% mouthwash (Orovex mouthwash, Macro group, Egypt) immediately preoperatively. Local infiltration anesthesia [Articaine 4% 1:100,000 epinephrine] (Artinibsa 40mg/0.1 mg/Ml ˗ epinephrine 1:100000, Spain) will be used for all procedures.

Control group:

  • The surgical procedure will be performed in sterile surgical field. Under local anesthesia, sharp dissection of the supracrestal fibers will be done with no.15 c scalpel blade. With the purpose of preserving the buccal and palatal bone walls, periotomes, elevators and maxillary root forceps will be used to facilitate atraumatic extraction.
  • The socket will be well irrigated with saline and debrided with a bone curette. An intact buccal bone plate should be found after extraction of the tooth.
  • Bony sockets will be prepared through sequential drilling for the placement of the implant.
  • Achieving primary stability after implant placement will be followed by placement of cover screw.
  • Venous blood will be withdrawn under aseptic conditions by veni puncture of the antecubital vein and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al.
  • Plastic PET tubes to create Liquid-PRF, while glass tubes will be used to obtain Solid-PRF.
  • Blood will be centrifuged at a speed of 3000 rpm for 10 minutes to obtain autologous PRF plug.
  • Blood will be centrifuged at a speed of 700 rpm for 3 minutes. An orange- colored fluid will be formed as the upper layer in the test tubes i.e., I- PRF. Approximately 1 ml of I-PRF will be collected in a syringe.
  • Solid-PRF + Liquid-PRF mixed DBBM: Solid-PRF membranes will be cut into small PRF fragments sized between 1-2 mm and mixed thoroughly with 0.25 g of DBBM particles. Then 1 mL Liquid PRF from the buffy coat layers will be added drop by drop to the DBBM.
  • Following polymerization by 15-20 minutes, sticky bone will be ready to be grafted.
  • The sticky bone graft will be condensed and adapted into the jumping gap as well as over the implants. Further, it will be covered with PRF membrane.
  • the healing abutment will be screwed into the implant body .

Intervention group:

  • A thin periosteal elevator will be used to reflect the soft tissue buccal to the bony buccal plate on the mid-facial aspect of the socket in a full-thickness manner, following a corono-apical direction, thereby creating a 'surgical pouch.
  • The dissection will be advanced beyond the mucogingival line to approximately two-thirds the depth of the socket, and the 'pouch' will be expanded in the mesio-distal direction to stretch the soft tissues away from the underlying bony plate.
  • Sticky bone will be inserted into the pouch by a mean of a small periosteal elevator. Additional graft material will be added and compressed until adequate filling of the pouch is achieved without overstretching the soft tissues.
  • the healing abutment will be screwed into the implant body .
Being tested
immediate implant with buccal plate augmentation using sticky bone, immediate implant with sticky bone as a filling material in the jumping gap
Keywords
buccal plate preservation, sticky bone, PRF

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • immediate implant with buccal plate augmentation using sticky boneBiological

    • Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al.
    • Plastic PET tubes to create Liquid-PRF, while glass tubes will be used to obtain Solid-PRF.
    • Blood will be centrifuged at a speed of 3000 rpm for 10 minutes to obtain autologous PRF plug.
    • Blood will be centrifuged at a speed of 700 rpm for 3 minutes. An orange- colored fluid will be formed as the upper layer in the test tubes i.e., I- PRF. Approximately 1 ml of I-PRF will be collected in a syringe.
    • Solid-PRF + Liquid-PRF mixed DBBM: Solid-PRF membranes will be mixed thoroughly with 0.25 g of DBBM particles. Then 1 mL Liquid PRF from the buffy coat layers will be added drop by drop to the DBBM.
    • Following polymerization by 15-20 minutes, sticky bone will be ready to be grafted in the pouch .
  • immediate implant with sticky bone as a filling material in the jumping gapBiological

    Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al.

    • Plastic PET tubes to create Liquid-PRF, while glass tubes will be used to obtain Solid-PRF.
    • Blood will be centrifuged at a speed of 3000 rpm for 10 minutes to obtain autologous PRF plug.
    • Blood will be centrifuged at a speed of 700 rpm for 3 minutes. An orange- colored fluid will be formed as the upper layer in the test tubes i.e., I- PRF. Approximately 1 ml of I-PRF will be collected in a syringe.
    • Solid-PRF + Liquid-PRF mixed DBBM: Solid-PRF membranes will be mixed thoroughly with 0.25 g of DBBM particles. Then 1 mL Liquid PRF from the buffy coat layers will be added drop by drop to the DBBM.
    • Following polymerization by 15-20 minutes, sticky bone will be ready to be grafted in the jumping gap.
Study groups in NCT06642753
Study groupRoleWhat they receive
immediate implant with buccal plate augmentation using sticky boneExperimentalatraumatic extraction. * The socket will be well irrigated with saline and debrided with a bone curette. * placement of the implant. * Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al. * sticky bone will be ready to be grafted. * Sticky bone will be inserted into the pouch by a mean of a small periosteal elevator. Additional graft material will be added and compressed until adequate filling of the pouch is achieved without overstretching the soft tissues. * the healing abutment will be screwed into the implant body .
Receives: Biological: immediate implant with buccal plate augmentation using sticky bone
immediate implant with sticky bone as a filling material in the jumping gapActive comparator* atraumatic extraction. * The socket will be well irrigated with saline and debrided with a bone curette. * placement of the implant. * Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al. * sticky bone will be ready to be grafted. * The sticky bone graft will be condensed and adapted into the jumping gap as well as over the implants. Further, it will be covered with PRF membrane. * the healing abutment will be screwed into the implant body
Receives: Biological: immediate implant with sticky bone as a filling material in the jumping gap

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. pink esthetic score

    This pink esthetic score (PES) evaluates the esthetic outcome of soft tissue around implant-supported single crowns in the anterior zone by awarding seven points for the mesial and distal papilla, soft-tissue level, soft-tissue contour, soft-tissue color, soft-tissue texture, and alveolar process deficiency .With the exception of papilla formation, the evaluation is performed visually by comparing reference teeth (i.e., with the contralateral tooth in the incisor zone and adjacent tooth in the premolar zone). For the mesial and distal papilla, the categories are complete, incomplete, and absent. For each criterion it is possible to award a score between two points (for a very good outcome) and no points (for a poor outcome). The maximum score that can be achieved is 14 points indicating an outcome that reflects complete conformity between the soft tissue of the tooth being assessed and that of the reference tooth.

    Measured: 3 and 6 months postoperative

Secondary outcomes (4)
  1. crestal bone level

    using Cone beam computed tomography (CBCT) machine with superimposition technique.

    Measured: baseline and 6 months post operative

  2. Thickness of labial plate of bone

    Using CBCT machine . Using the axial view, one reference line will be drawn from the apex of the implant to its platform (long axis); another line, perpendicular to the one at the long axis, will be drawn at the apex of the implant. Parallel to this, two lines will be drawn, one at 1 mm from the implant collar (R1) and another 5 mm apical to it (R2) measuring the thickness of the bone (at the buccal plate) to the nearest 0.1 mm.

    Measured: baseline and 6 months postoperatively

  3. Soft tissue profile /contour

    Scanning of diagnostic casts by optical scanner.

    Measured: baseline, 3 and 6 months postoperatively.

  4. patient satisfaction

    VAS (Visual analogue scales ) based questionnaire. for pain: The most common VAS consists of a 10-cm horizontal or vertical line with the two endpoints labeled "no pain" and "worst pain ever" (or similar verbal descriptors). The patient is required to place a mark on the 10-cm line at a point that corresponds to the level of pain intensity they presently feel. The distance in centimeters from the low end of the VAS to the patient's mark is used as a numerical index of the severity of pain.

    for swelling:

    1. no swelling.
    2. mild intraoral swelling
    3. moderate intraoral swelling
    4. severe extraoral swelling

    Measured: immediately after implant placement , 3 and 6 months postoperative

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Oct 2024
  2. Study start1 Jun 2024
  3. Primary completionDec 2024 (estimated)
  4. Study completionMay 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06642753
Sponsor's protocol ID
PER.6-3-1
Status last verified
Sep 2024
First submitted
5 Aug 2024
Last updated
23 Oct 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing immediate implant with buccal plate augmentation using sticky bone and immediate implant with sticky bone as a filling material in the jumping gap in people with Immediate Implant, run by Cairo University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 23 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yara KH Ghaith (01025718437, yara.khalefa@dentistry.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

pink esthetic score (time frame: 3 and 6 months postoperative). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2024.

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